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	<title>TEMS</title>
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		<title>In the absence of gravitas: crapola</title>
		<link>http://tems.ca/2009/10/in-the-absence-of-gravitas-crapola/</link>
		<comments>http://tems.ca/2009/10/in-the-absence-of-gravitas-crapola/#comments</comments>
		<pubDate>Tue, 27 Oct 2009 20:33:09 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Uncategorized]]></category>
		<category><![CDATA[H1N1]]></category>
		<category><![CDATA[vaccination]]></category>

		<guid isPermaLink="false">http://tems.ca/?p=37</guid>
		<description><![CDATA[The latest in a countless series of grave warnings sent by email with an  	ever-changing list of signatories, this one was supposedly from a PhD MD RN  	MSc and opened with this phrase:
&#8220;No  	one should take the swine flu vaccine-it is one of the most dangerous  	vaccines ever devised&#8221;
In the absence [...]]]></description>
			<content:encoded><![CDATA[<p>The latest in a countless series of grave warnings sent by email with an  	ever-changing list of signatories, this one was supposedly from a PhD MD RN  	MSc and opened with this phrase:</p>
<p>&#8220;No  	one should take the swine flu vaccine-it is one of the most dangerous  	vaccines ever devised&#8221;</p>
<p>In the absence of  		intense myth-busting information communicated by credible leaders, this  		kind of crapola propagates. Several times a day I find myself being  		called upon to explain why I believe it’s essential that we all get  		vax’d against H1.</p>
<p>Here&#8217;s my response:</p>
<p>For me, it has  		become a very serious risk v benefit model.</p>
<p>And understand, Di  		and I sweat each and every time we get the kids inoculated against  		something. We wonder – just a little bit – about the safety of the vax.  		There’s that moment of dread that lasts from the time the needle breaks  		skin to the time it takes for us to be convinced of no evil and  		debilitating sequelae.</p>
<p>And then there’s H1N1.</p>
<p>There’s nothing abstract about this – it’s not like the concept that I  		might be hit by a truck. Might. Maybe. Likely never happen.</p>
<p>H1N1 is a real threat. It has replaced the seasonal flu virus as the  		dominant flu bug crisscrossing the globe. Just think about that fact for  		a moment. Wow. H1N1 is the king of the microbe heap and it’s only been  		in circulation since April.</p>
<p>H1N1 has a disproportionately awful impact on the very young, on  		pregnant women, and on people with underlying medical conditions. How  		many asthmatic kids do you know? My own daughter is still prone to croup  		at age 11 – when she was younger she weathered some critical moments in  		ERs and ambulances. How many young people are medically fragile? How  		many adults are medically fragile? The answer will blow you away when  		you realize just how high the percentage of the population are  		considered at risk.</p>
<p>From the CDC briefing on Oct 16</p>
<p>“There are now a total of 86 children under 18 who died from this H1N1  		influenza virus, the 2009 H1N1 influenza virus. We had 11 more influenza  		pediatric deaths reported in week 40, which is the week that ends  		October 10. Ten of those are confirmed to be due to the new strain, the  		2009 H1N1 strain and the 11th is probably due to that but the typing  		hasn&#8217;t been completed. About half of the deaths that we&#8217;ve seen in  		children since September 1st have been occurring in teens between the  		ages of 12 and 17. These are very sobering statistics, unfortunately,  		they are likely to increase.”</p>
<p>From the CDC briefing on Oct 20</p>
<p>“More than half of the hospitalizations are occurring in young people  		under the age of 25. We are seeing 53% in people under 25 years of age.  		39% of hospitalizations are in people 25 to 64 years of age. And only 7%  		of hospitalizations are occurring in the elderly. Almost a quarter of  		deaths are occurring in young people under the age of 25. Specifically,  		23.6% of the deaths are in that age group. About 65% of the deaths are  		in people 25 to 64 years of age… With seasonal flu 90% of fatalities  		occur in people 65 and over. Nearly 60% of fatalities are occurring  		under age of 65.”</p>
<p>Bottom-line: Get the  		shot.</p>
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		<item>
		<title>Tachycardia with a hint of all-out gallop</title>
		<link>http://tems.ca/2009/10/tachycardia-with-a-hint-of-all-out-gallop/</link>
		<comments>http://tems.ca/2009/10/tachycardia-with-a-hint-of-all-out-gallop/#comments</comments>
		<pubDate>Tue, 20 Oct 2009 20:37:44 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Uncategorized]]></category>

		<guid isPermaLink="false">http://tems.ca/?p=39</guid>
		<description><![CDATA[For whatever reason, the national media haven&#8217;t quite zero-zeroed in on the  	realities associated with H1N1, the vax, and high-risk groups. Certainly,  	the tone of local and regional coverage has shifted from cautionary optimism  	to creeping negativity.
 Life-Saving 		 H1N1 Drug Unavailable to Most
CBS News
OR, the currently fast-tracked H1N1  		vaccine has [...]]]></description>
			<content:encoded><![CDATA[<p>For whatever reason, the national media haven&#8217;t quite zero-zeroed in on the  	realities associated with H1N1, the vax, and high-risk groups. Certainly,  	the tone of local and regional coverage has shifted from cautionary optimism  	to creeping negativity.</p>
<p><a title="blocked::http://www.google.com/url?sa=X&amp;q=http://www.cbsnews.com/stories/2009/10/19/eveningnews/main5398999.shtml&amp;ct=ga&amp;cd=VyenehIlx-k&amp;usg=AFQjCNFPxHquGdA9HBXtYsPUJAakwreGtg" href="http://www.google.com/url?sa=X&amp;q=http://www.cbsnews.com/stories/2009/10/19/eveningnews/main5398999.shtml&amp;ct=ga&amp;cd=VyenehIlx-k&amp;usg=AFQjCNFPxHquGdA9HBXtYsPUJAakwreGtg"> L</a><a title="blocked::http://www.google.com/url?sa=X&amp;q=http://www.cbsnews.com/stories/2009/10/19/eveningnews/main5398999.shtml&amp;ct=ga&amp;cd=VyenehIlx-k&amp;usg=AFQjCNFPxHquGdA9HBXtYsPUJAakwreGtg" href="http://www.google.com/url?sa=X&amp;q=http://www.cbsnews.com/stories/2009/10/19/eveningnews/main5398999.shtml&amp;ct=ga&amp;cd=VyenehIlx-k&amp;usg=AFQjCNFPxHquGdA9HBXtYsPUJAakwreGtg">ife-Saving 		<strong title="blocked::http://www.google.com/url?sa=X&amp;q=http://www.cbsnews.com/stories/2009/10/19/eveningnews/main5398999.shtml&amp;ct=ga&amp;cd=VyenehIlx-k&amp;usg=AFQjCNFPxHquGdA9HBXtYsPUJAakwreGtg"> H1N1</strong> Drug Unavailable to Most</a><br />
CBS News<br />
OR, the currently fast-tracked <strong>H1N1  		vaccine</strong> has received much of a legitimate trial period to  		verify efficacy and safety! Yet, the <strong> H1N1 vaccine</strong> has been <strong>&#8230;</strong><br />
<a title="blocked::http://news.google.com/news/story?ncl=http://www.cbsnews.com/stories/2009/10/19/eveningnews/main5398999.shtml&amp;hl=en" href="http://news.google.com/news/story?ncl=http://www.cbsnews.com/stories/2009/10/19/eveningnews/main5398999.shtml&amp;hl=en"> See all stories on this topic</a></p>
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<td><a title="blocked::http://www.google.com/url?sa=X&amp;q=http://www.wbaltv.com/health/21342352/detail.html&amp;ct=ga&amp;cd=v5HxRIzIZCM&amp;usg=AFQjCNH_15B4q3Oh4ttqF7iMq1zdjgOppg" href="http://www.google.com/url?sa=X&amp;q=http://www.wbaltv.com/health/21342352/detail.html&amp;ct=ga&amp;cd=v5HxRIzIZCM&amp;usg=AFQjCNH_15B4q3Oh4ttqF7iMq1zdjgOppg"> <strong title="blocked::http://www.google.com/url?sa=X&amp;q=http://www.wbaltv.com/health/21342352/detail.html&amp;ct=ga&amp;cd=v5HxRIzIZCM&amp;usg=AFQjCNH_15B4q3Oh4ttqF7iMq1zdjgOppg"> H1N1 Vaccine Shortage</strong> Stalls Clinics</a><br />
WBAL  				TV<br />
BALTIMORE &#8212; Maryland is facing a flu <strong> vaccine shortage</strong> as  				the numbers of <strong>H1N1</strong> hospitalizations and deaths continue to rise. Many local health  				departments <strong>&#8230;</strong><br />
<a title="blocked::http://news.google.com/news/story?ncl=http://www.wbaltv.com/health/21342352/detail.html&amp;hl=en" href="http://news.google.com/news/story?ncl=http://www.wbaltv.com/health/21342352/detail.html&amp;hl=en"> See all stories on this topic</a></td>
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<td><a title="blocked::http://www.google.com/url?sa=X&amp;q=http://www.kltv.com/Global/story.asp?S=11341367&amp;ct=ga&amp;cd=v5HxRIzIZCM&amp;usg=AFQjCNEi9PX4R3AejLpj0L1K9tZdlLtLAg" href="http://www.google.com/url?sa=X&amp;q=http://www.kltv.com/Global/story.asp%3FS%3D11341367&amp;ct=ga&amp;cd=v5HxRIzIZCM&amp;usg=AFQjCNEi9PX4R3AejLpj0L1K9tZdlLtLAg"> <strong title="blocked::http://www.google.com/url?sa=X&amp;q=http://www.kltv.com/Global/story.asp?S=11341367&amp;ct=ga&amp;cd=v5HxRIzIZCM&amp;usg=AFQjCNEi9PX4R3AejLpj0L1K9tZdlLtLAg"> H1N1 vaccine shortage</strong>,  				East Texas officials react</a><br />
KLTV<br />
A <strong>shortage</strong> of the 				<strong>vaccine</strong> has some  				doctors wondering when they will receive the shots. Marlo Bitter  				is back at work, but less than a week ago, <strong> &#8230;</strong><br />
<a title="blocked::http://news.google.com/news/story?ncl=http://www.kltv.com/Global/story.asp?S=11341367&amp;hl=en" href="http://news.google.com/news/story?ncl=http://www.kltv.com/Global/story.asp%3FS%3D11341367&amp;hl=en"> See all stories on this topic</a></td>
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<td><a title="blocked::http://www.google.com/url?sa=X&amp;q=http://www.palestineherald.com/breakingnews/local_story_292191050.html&amp;ct=ga&amp;cd=v5HxRIzIZCM&amp;usg=AFQjCNE0455l3RtTAORxrNt0pxes8mMdEw" href="http://www.google.com/url?sa=X&amp;q=http://www.palestineherald.com/breakingnews/local_story_292191050.html&amp;ct=ga&amp;cd=v5HxRIzIZCM&amp;usg=AFQjCNE0455l3RtTAORxrNt0pxes8mMdEw"> No flu shots available</a><br />
Palestine Herald Press<br />
The problem of seasonal flu <strong> vaccine shortage</strong> has been reported all across East  				Texas. The <strong>shortages</strong> are not just with DSHS, but also with pharmacies. <strong> &#8230;</strong><br />
<a title="blocked::http://news.google.com/news/story?ncl=http://www.palestineherald.com/breakingnews/local_story_292191050.html&amp;hl=en" href="http://news.google.com/news/story?ncl=http://www.palestineherald.com/breakingnews/local_story_292191050.html&amp;hl=en"> See all stories on this topic</a></td>
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<p>Whether the media gets  	it right or wrong at this point is unlikely to make a dent in the public  	perception of being at the heart of something wicked this way comes.</p>
<p>If you were to take a  	pulse of America right now, I believe you’d find it in tachycardia with a  	hint of all-out gallop as intense fear rides on the cusp of all-out panic.</p>
<p>The indicators for me  	arrive on the hour in the form of email queries from healthcare  	professionals, community leaders, and emergency management colleagues  	wanting to compare notes on what personal steps they can take to protect  	themselves and their loved ones from H1.</p>
<p>To further confuse and confound, there  	are mixed messages being sent by federal, state and county health officials  	to the public they serve, e.g. 	<a title="blocked::http://www.bigmedicine.ca/americas.htm#1020_State_officials_understand_and_share_frustration_associated_with_H1N1_vax_shortages_[Massachusetts]" href="http://www.bigmedicine.ca/americas.htm#1020_State_officials_understand_and_share_frustration_associated_with_H1N1_vax_shortages_[Massachusetts]"> 1020 State officials understand and share frustration associated with H1N1  	vax shortages [Massachusetts]</a>.</p>
<p>If you ever wonder how rumor generators get primed, read this 	piece out of North  	Dakota and imagine the news being transmitted on a national game of broken  	telephone: 	<a title="blocked::http://www.bigmedicine.ca/americas.htm#1020_DoH_recommends_revax_of_some_individuals_against_H1N1_[North_Dakota]" href="http://www.bigmedicine.ca/americas.htm#1020_DoH_recommends_revax_of_some_individuals_against_H1N1_[North_Dakota]"> 1020 DoH recommends revax of some individuals against H1N1 [North Dakota]</a>.</p>
<p>With so many people with  	functional limitations [the vulnerable at the moment] mixed into the at-risk  	groups, this ongoing crisis represents a significant challenge for us all.  	How do we ensure a fully-inclusive response?</p>
<p>When I&#8217;ve tried discussing H1N1 with some of my  		colleagues, there has been tremendous pushback with an accusation of my  		&#8216;having given in to the hype.&#8217; The claims of hype tend to fade as more  		people we know are affected by a nasty bit of influenza that has a habit  		of going hard after the very young.</p>
<p>Does H1N1 represent the perfect storm with an even more devastating legacy  	than that of Katrina?  	Katrina struck the Gulf Coast and still managed to impact an entire  	generation, create its own diaspora and continues to have a lingering effect  	on millions of people. Katrina had a beginning and is still looking for an  	end.</p>
<p>H1N1 is an  			ongoing evolving global crisis with nothing to link it to the  			episodic view we have for emergency management. And unlike all those  			other crises occurring out there – famine, civil war, genocide,  			malaria, HIV/AIDS – this one is affecting us right here in our  			homes. So H1N1 has our rapt attention and even with all eyes on the  			‘prize’ we’re still unable to manage this ongoing emergency.</p>
<p>Sometimes it feels as if the professionals would rather not disturb the  	peace with discussions focused on what happens when the victims of  	emergencies or the emergencies themselves don&#8217;t act in ways predicted by the  	plan.</p>
<p>Were it only so easy if disasters had neither victims nor responders but  	only featured rulemakers who could wear funny hats.</p>
]]></content:encoded>
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		<item>
		<title>Renewing terror and other tricks of mass evacuations</title>
		<link>http://tems.ca/2009/10/renewing-terror-and-other-tricks-of-mass-evacuations/</link>
		<comments>http://tems.ca/2009/10/renewing-terror-and-other-tricks-of-mass-evacuations/#comments</comments>
		<pubDate>Mon, 19 Oct 2009 20:42:25 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Uncategorized]]></category>

		<guid isPermaLink="false">http://tems.ca/?p=41</guid>
		<description><![CDATA[
It&#8217;s been a long while since  	this happened however it seems the story continues to have a serious impact  	on those with whom it&#8217;s shared.

And that&#8217;s interesting in and  	of itself in that several colleagues have approached me recently because  	they&#8217;ve heard this story presented at conferences by folks other than [...]]]></description>
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<p style="margin-top: 0px; margin-bottom: 0px;">It&#8217;s been a long while since  	this happened however it seems the story continues to have a serious impact  	on those with whom it&#8217;s shared.</p>
<p style="margin-top: 0px; margin-bottom: 0px;">
<p style="margin-top: 0px; margin-bottom: 0px;">And that&#8217;s interesting in and  	of itself in that several colleagues have approached me recently because  	they&#8217;ve heard this story presented at conferences by folks other than me  	claiming it as their own.</p>
<p style="margin-top: 0px; margin-bottom: 0px;">
<p style="margin-top: 0px; margin-bottom: 0px;">Except, of course, for the  	part where the presenters accept responsibility for making fateful decisions  	because in their telling of my story this happened to &#8217;someone they know&#8217; or  	&#8216;an unnamed colleague&#8217; and they proceed to dis&#8217; him for his lack of  	knowledge about their community.</p>
<p style="margin-top: 0px; margin-bottom: 0px;">
<p style="margin-top: 0px; margin-bottom: 0px;">I was actually very familiar  	with the community I served.</p>
<p style="margin-top: 0px; margin-bottom: 0px;">
<p style="margin-top: 0px; margin-bottom: 0px;">I was the director of Cote  	Saint-Luc EMS in January of 1998. The City of Cote Saint-Luc was an  	interesting place to lead a team of emergency medical services providers.  	There was a very high percentage of the population who were 65 years of age  	and older and embedded within that considerable slice was a large community  	of Holocaust survivors.</p>
<p style="margin-top: 0px; margin-bottom: 0px;">
<p style="margin-top: 0px; margin-bottom: 0px;">Our EMS department was  	innovative in its outreach efforts and in its expanded scope of service that  	made it more of a psycho-social service than a purely emergency medical  	services organization.</p>
<p style="margin-top: 0px; margin-bottom: 0px;">
<p style="margin-top: 0px; margin-bottom: 0px;">On January 5 the freezing  	rain storm began to take a toll on the power grid. At 05h00 on the morning  	of January 6th, dispatch began to become inundated with calls for  	assistance. There were reports from Hydro-Quebec that some 700,000  	households were without power in a large swath of southern Quebec.</p>
<p style="margin-top: 0px; margin-bottom: 0px;">
<p style="margin-top: 0px; margin-bottom: 0px;">On January 6 we realized  	evacuations were likely to become a necessity. At 11h35 we received the  	first of what would be many calls for medical verifications. A 75-year-old  	man was on a home oxygen system and plans were made for his eventual  	evacuation.</p>
<p style="margin-top: 0px; margin-bottom: 0px;">
<p style="margin-top: 0px; margin-bottom: 0px;">We were sliding further into  	crisis. Our calls were multiplying while available resources were shrinking.  	People were finding it difficult if not impossible to find a hotel room  	anywhere in Montreal.</p>
<p style="margin-top: 0px; margin-bottom: 0px;">
<p style="margin-top: 0px; margin-bottom: 0px;">From crisis we went directly  	into the abyss. No need to pass Go. I called for assistance from the  	provincial government to assist with establishing shelters for the thousands  	of senior citizens and medically fragile residents we were evacuating from  	dark, frigid, carbon-monoxide-intensive apartment buildings.</p>
<p style="margin-top: 0px; margin-bottom: 0px;">
<p style="margin-top: 0px; margin-bottom: 0px;">You could not measure the  	depth of my despair when I realized no help was coming. That feeling of  	profound isolation was almost immediately replaced by the realization that  	we would have to take care of ourselves &#8211; no cavalry would be riding over  	the hill to come to our rescue.</p>
<p style="margin-top: 0px; margin-bottom: 0px;">
<p style="margin-top: 0px; margin-bottom: 0px;">On January 7 at 10h42 our  	crews began the assessment of a 10-floor seniors residence. At 10h46 the  	transport of the first 16 evacuees from the building begins. They taken to a  	shelter established at City Hall. The fire department is called to the scene  	to ventilate the building after fumes from the emergency generators  	circulate throughout the hallways.</p>
<p style="margin-top: 0px; margin-bottom: 0px;">
<p style="margin-top: 0px; margin-bottom: 0px;">On January 8, Hydro Quebec  	reported 950,000 households are without power.</p>
<p style="margin-top: 0px; margin-bottom: 0px;">
<p style="margin-top: 0px; margin-bottom: 0px;">I made mistakes.</p>
<p style="margin-top: 0px; margin-bottom: 0px;">
<p style="margin-top: 0px; margin-bottom: 0px;">We had many senior-centric  	highrise or multi-building facilities that had to be evacuated. Given the  	sheer number of evacuations and the limited humans available to carry out  	the task, we drafted police officers to assist with these mass evacuations.</p>
<p style="margin-top: 0px; margin-bottom: 0px;">
<p style="margin-top: 0px; margin-bottom: 0px;">As police officers, many in  	tactical or bulked-up gear due to the extreme weather conditions, went  	door-to-door in the darkened hallways, hundreds of Holocaust survivors  	flashed back to a time of forced evacuations and transport to the death  	camps.</p>
<p style="margin-top: 0px; margin-bottom: 0px;">
<p style="margin-top: 0px; margin-bottom: 0px;">When bubbies and zaidies*  	scream.</p>
<p style="margin-top: 0px; margin-bottom: 0px;">
<p style="margin-top: 0px; margin-bottom: 0px;">We had, of course,  	unintentionally made matters worse by providing the police officers with  	instructions to residents to gather their essentials into a bag as quickly  	as possible and then make their way to the lobby where they would be loaded  	into buses for the ride to the shelters.</p>
<p style="margin-top: 0px; margin-bottom: 0px;">
<p style="margin-top: 0px; margin-bottom: 0px;">At the shelters we had the  	standard line-up check-in procedure. The first round of evacuations resulted  	in dozens of cases of severe mental trauma and more than a few syncopal  	episodes.</p>
<p style="margin-top: 0px; margin-bottom: 0px;">
<p style="margin-top: 0px; margin-bottom: 0px;">When the plans failed, we  	adjusted.</p>
<p style="margin-top: 0px; margin-bottom: 0px;">
<p style="margin-top: 0px; margin-bottom: 0px;">We adjusted by having our  	medics accompany the police officers on their evacuation rounds, softened  	the approach, used as much light as could be hauled around, brought social  	workers into the mix on the buses and altered the check-in procedure to  	include large round tables where a social worker and a medic were assigned  	to each table to help residents acclimate to their new surroundings.</p>
<p style="margin-top: 0px; margin-bottom: 0px;">
<p style="margin-top: 0px; margin-bottom: 0px;">It became more like a  	last-minute social gathering. Thank goodness.</p>
<p style="margin-top: 0px; margin-bottom: 0px;">
<p style="margin-top: 0px; margin-bottom: 0px;">On January 10th, Hydro Quebec  	reported 1.4 million households without power. Water had to be boiled prior  	to consumption.</p>
<p style="margin-top: 0px; margin-bottom: 0px;">
<p style="margin-top: 0px; margin-bottom: 0px;">On January 11th, the army  	arrived with more than 11,000 soldiers on the ground. The Abbruzzesse Family  	had power in their kitchen in Montreal North. Huge trays of wonderful  	Italian dishes were transported across the city to feed our crews. Smaller  	army. Just as appreciated.</p>
<p style="margin-top: 0px; margin-bottom: 0px;">
<p style="margin-top: 0px; margin-bottom: 0px;">I remember a satellite phone  	conversation with someone at an agency considering lending us a hand during  	the disaster. We were evacuating another 100 or so seniors from a nursing  	home at the time. The gentleman on the phone said they might be willing to  	send someone to better assess the gravity of the situation. Right at that  	moment a large piece of ice dropped off the top of a 20-floor building and  	hit a parked car on the street behind me. There was a large crash. The man  	on the phone exclaimed, &#8216;What was that?!&#8217;</p>
<p style="margin-top: 0px; margin-bottom: 0px;">
My reply, &#8216;Hell just froze over, sir.&#8217;</p>
<p style="margin-top: 0px; margin-bottom: 0px;">
<p style="margin-top: 0px; margin-bottom: 0px;">Be well. Practice big  	medicine.</p>
<p style="margin-top: 0px; margin-bottom: 0px;">
<p style="margin-top: 0px; margin-bottom: 0px;">Hal</p>
<p style="margin-top: 0px; margin-bottom: 0px;">
<p style="margin-top: 0px; margin-bottom: 0px;">*Bubby and Zaidie are the  	yiddush words for Grandmother and Grandfather respectively.</p>
<p></span></p>
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		<title>Talk About A Revolution</title>
		<link>http://tems.ca/2009/06/talk-about-a-revolution/</link>
		<comments>http://tems.ca/2009/06/talk-about-a-revolution/#comments</comments>
		<pubDate>Tue, 16 Jun 2009 20:04:17 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Uncategorized]]></category>

		<guid isPermaLink="false">http://tems.ca/?p=22</guid>
		<description><![CDATA[by Andrew Fielden
June 15th 2009 was a strange  						day. Hundreds of thousands, possibly over a million,  						people on the streets in Iran protesting over the  						election results that the protesters thought had been  						rigged. Is this the start of a revolution? I am writing  						this a day later and I [...]]]></description>
			<content:encoded><![CDATA[<p>by Andrew Fielden</p>
<p><!--       h1 {         color: #00468C;         } span.style21 	{} div.Section1 	{page:Section1;} body.hmmessage { font-size: 10pt; font-family:Verdana } -->June 15th 2009 was a strange  						day. Hundreds of thousands, possibly over a million,  						people on the streets in Iran protesting over the  						election results that the protesters thought had been  						rigged. Is this the start of a revolution? I am writing  						this a day later and I do not know.</p>
<p>What I do know is that the way  						it was perceived here in the west was very different to  						how it would have been just a year ago and that was at  						least in part down to twitter. During the day there were  						accounts that had decent claims to being genuine voices  						from Tehran keeping the world updated on events and  						managing to get photo and video files out to support  						their claims. So persuasive were these voices that they  						were getting the traditional news media to follow what  						they were saying almost in priority to their own on the  						spot journalists and traditional sources.</p>
<p>This was the true revolution of  						June 15th. As information was coming out of Iran it was  						being viewed by thousands and then resent (retweeted) so  						that it would be viewed by even more. All of this in  						pretty much real time and it had nothing to do with the  						large news agencies. In fairness to the news agencies  						they are beginning to catch on however there is  						resistance to what they see as their position as the  						true arbiters of quality reporting.</p>
<p>This is a tweet from Jeff Jarvis  						from the afternoon of 15th June &#8220;I emphasized to a  						reporter today that Twitter is not the news source. It&#8217;s  						a source of tips &amp; temperature &amp; sources. Reporting  						follows.&#8221; Also from his site (posted June 15th) comes  						the following on the way that the NY Times operates  						&#8220;Because The Times’ brand hinges on it as a product that  						has been curated and edited and checked and polished &#8211;  						note editor Bill Keller’s language &lt;</p>
<p><a href="http://www.buzzmachine.com/2009/06/11/aged-comedy/">http://www.buzzmachine.com/2009/06/11/aged-comedy/</a>&gt;  						on The Daily Show about his package &#8211; it finds itself in  						dangerous territory trying to compete in real time with  						those whose brand expectations are entirely different.&#8221;</p>
<p>According to the Bio on his site  						Jeff is associate professor and director of the  						interactive journalism program at the City University of  						New York’s new Graduate School of Journalism &lt;</p>
<p><a href="http://journalism.cuny.edu/">http://journalism.cuny.edu/</a>&gt;  						. Well I have news for you Jeff, if you think that any  						news organisation can get it perfectly right and  						polished you are deluded and yesterday provided the  						perfect example.This is what the editor of the  						curated and edited and checked and polished New York  						Times &lt;</p>
<p><a href="http://bit.ly/26jjrI">http://bit.ly/26jjrI</a> <span lang="EN">&gt;  						had to say in the early hours of June 15th.&#8221;Leader Emerges With Stronger  						Hand</p>
<p>By BILL KELLER and MICHAEL  						SLACKMAN</p>
<p>Published: June 15, 2009</p>
<p>President Mahmoud Ahmadinejad’s  						victory demonstrated that he is the shrewd front man for  						an elite more unified than at any time since 1979.&#8221;</p>
<p>Whilst you would now have to  						subscribe to read the article I can tell you that it was  						proclaiming that it was a done deal and the middle  						classes were in Iran were resigned to their fate. Just  						how wrong can you get it.</p>
<p>So here is the news for you Jeff  						and for all of those journalists who wish to believe  						that they are a special breed gifted with superhuman  						insight and the ability to distill a story for general  						public consumption. The twitter community and its  						successors will beat you to the story every time.  						Furthermore, they will be the people who are the experts  						in the field and, shock horror, they may even be able to  						string a sentence or two together. Then the story will  						be out there and if it gains a following it will spread  						like wild fire.</p>
<p>This does not mean that  						journalists are an endangered species, just that they  						are going to be changing the way they operate in the  						future. As with any source of information there will be  						the good, the bad and the disingenuous &#8211; these will need  						to be checked and validated.</p>
<p>Following on from that, there  						will be the need to draw in comment from other domain  						experts who are not necessarily directly involved in the  						main proceedings, for example David Miliband, the UK  						Foreign Minister, was interviewed on BBC Radio 4 in the  						morning of 16th June for the UK government&#8217;s view on the  						events in Iran. This could not have been done via social  						networking systems on the Internet.</p>
<p>A news organisation and the  						journalists working for them can act as a ringmaster in  						an ever changing circus of events. Constantly watching  						the crowd to see the news as it unfolds and vetting the  						shouts from the audience to allow those who have  						something valuable to say to step into the ring whilst  						at the same time getting involvement from those who can  						be invited directly to the ring from outside. They can  						then step in and lead that conversation rather in the  						manner of an enormous audience participation show. That,  						I believe is the future of journalism.</p>
<p><span style="font-size: x-small;"> </span></span></p>
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		<title>Get Out Of #TwitterJail free &#8211; #TweetFreedom</title>
		<link>http://tems.ca/2009/06/get-out-of-twitterjail-free-tweetfreedom/</link>
		<comments>http://tems.ca/2009/06/get-out-of-twitterjail-free-tweetfreedom/#comments</comments>
		<pubDate>Thu, 11 Jun 2009 20:02:48 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Uncategorized]]></category>
		<category><![CDATA[advertising]]></category>
		<category><![CDATA[API]]></category>
		<category><![CDATA[business model]]></category>
		<category><![CDATA[tweeting]]></category>

		<guid isPermaLink="false">http://tems.ca/?p=20</guid>
		<description><![CDATA[I am a  						member of Twitterholics anonymous but I am now ready to  						stand up and say to the world &#8220;my username is andrewtf  						and I tweet.&#8221; I don&#8217;t care if this makes me a real life  						social outcast (mind you, despite plenty of non  						twitaholics proclaiming that this is [...]]]></description>
			<content:encoded><![CDATA[<p>I am a  						member of Twitterholics anonymous but I am now ready to  						stand up and say to the world &#8220;my username is andrewtf  						and I tweet.&#8221; I don&#8217;t care if this makes me a real life  						social outcast (mind you, despite plenty of non  						twitaholics proclaiming that this is an inevitable  						effect of tweeting I remain unconvinced, in fact I think  						the reverse is true) but that is a burden I am prepared  						to carry.</p>
<p>I have already written on why Tweeting is great for you  						me and everyone. I have also said that we are seeing the  						start of something huge and such a different way of  						using the internet that it can have its own proper  						category of Internet usage along with Web Sites,  						Messaging (eMail and Instant Message/chat service) and I  						suppose online gaming &#8211; heck my son spends enough time  						on it and he is not alone.</p>
<p>Unlike all of the other categories which are not &#8216;owned&#8217;  						by any one company Twitter effectively owns this medium  						and that is a problem. Up until recently the perception  						has been of a large friendly community which can prattle  						on about anything and everything. Sure, there have been  						Twitterfails caused by too many people using the system  						but heck we get it for free and we expect to get it for  						free. Therein lies the rub, Twitter is a business not a  						charity and it needs to be able to charge for its  						services in one way or another however in this respect,  						Twitter is not behaving in a particularly clever way.</p>
<p>Twitter has always said that it intends to charge  						business for its services and I think we are now seeing  						the start of its intentions. In fact it seems fair to  						say that it is only now that Twitter itself has any idea  						of its intentions. Certainly in the fast moving online  						business world it is nothing new to make something great  						and then stop to think how you can make money from it.  						Sometimes this works out OK but in the case of Twitter  						it is a disaster.</p>
<p>At present there seem to be 4 obvious ways for them to  						make money:-</p>
<p>Advertising<br />
Personal user services<br />
Business user services<br />
Access for ancillary services via their database  						(otherwise known as the API)</p>
<p>They have already said that they don&#8217;t want advertising  						revenue, presumably so that they can claim some sort of  						moral social highground and appear to be your best mate  						rather than a business whose services you use.</p>
<p>As for the other sources, to the best of my knowledge  						they have not declared any specific intentions however  						there are some clues out there.</p>
<p>The API had until recently allowed developers access to  						a feed of all the tweets that were being processed. This  						has now been throttled and for the complete feed this is  						now only by invitation from Twitter if they deem your  						application to be worthy enough, with no pricing  						information being given. As for the other API services &#8211;  						these remain available but there is no guarantee that  						this will continue. In one sense this is fair enough as  						they are a business and this is valuable to them and the  						developers of apps, in fact TweetDeck has announced that  						it will now charge for inclusion in the application at a  						level of $50,000 per service so they obviously feel that  						piggy backing off Twitters&#8217; success has value.</p>
<p>In other words guys, please go out and spend a lot of  						time and effort building applications to make our system  						better although we may turn off the the bit you need to  						make your &#8216;killer app&#8217; work. On the other hand, we might  						let you use it if we think you are worthy but you will  						have to pay, although we won&#8217;t tell you how much.</p>
<p>Twitter &#8211; this is not an attractive proposition for a  						developer.</p>
<p>Even so we have Twitter in the raw for the average  						person to use. Well, actually we don&#8217;t. Over the last  						few days there have been a spate of instances of Twitter  						putting people in TwitterJail for overtweeting. Apart  						from the really irritating use of contrived words this  						is arrogance in the extreme and from a straw poll this  						seems to be arbitrarily imposed. I personally know of a  						few people who have hardly used the service but have  						been put in Jail for varying lengths of time. There are  						no indications of which particular limits they have  						broken, nor any prior indication of the penalties that  						will be imposed.</p>
<p>What are Twitter up to? They are alienating the people  						who seem to be using the system most even if those  						people are not spamming or being otherwise antisocial. I  						bet it wouldn&#8217;t happen to Oprah, although with only 50  						updates she is hardly likely to be put in jail anyway.</p>
<p>Is this leading perhaps to premiere accounts where you  						can tweet more often? Are they trying to get us used to  						the idea that we are beholden to them for this wonderful  						service?</p>
<p>I for one am deeply suspicious of such a secretive  						company and what is plain and clear is that they are not  						there as my friend. They want to be able to make money  						out of the information that you and me are putting into  						their precious database.</p>
<p>I say we should do something about it. We all need to  						take ownership of what is rightfully ours. Our thoughts  						and tweets. Without that, Twitter is nothing, it needs  						us far more than we need it.</p>
<p>We should all set up our own tweet servers, that can  						communicate with each other. Some can be simple and  						plain and work just like Twitter currently does. Others  						can have ancillary services for private groups and  						attach additional information to the messages such as  						documents, notes and video etc.. and all we need is a  						way to allow people to view the public messages (lets  						stop calling them tweets) that they have registered to  						do.<br />
So make join us in making a bid for #TwitterFreedom and  						take control for yourselves.</p>
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		<title>Tweets for You and Me, Take Two</title>
		<link>http://tems.ca/2009/06/tweets-for-you-and-me-take-two/</link>
		<comments>http://tems.ca/2009/06/tweets-for-you-and-me-take-two/#comments</comments>
		<pubDate>Wed, 03 Jun 2009 19:59:43 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Uncategorized]]></category>
		<category><![CDATA[hashtags]]></category>
		<category><![CDATA[links]]></category>
		<category><![CDATA[messaging]]></category>
		<category><![CDATA[tagging]]></category>
		<category><![CDATA[tweetosphere]]></category>
		<category><![CDATA[tweets]]></category>
		<category><![CDATA[twitter]]></category>

		<guid isPermaLink="false">http://tems.ca/?p=18</guid>
		<description><![CDATA[by Andrew Fielden
HTML clipboardIf Twitter is not the  						answer and Yahoo&#8217;s new service is a bit more of the same  						then what is?
To answer that question we have to consider what it is  						we want from it. There is a lot of debate about what a  						service like Twitter is. Taking [...]]]></description>
			<content:encoded><![CDATA[<p>by Andrew Fielden</p>
<p>HTML clipboard<!--       h1 {         color: #00468C;         } span.style21 	{} div.Section1 	{page:Section1;} body.hmmessage { font-size: 10pt; font-family:Verdana } -->If Twitter is not the  						answer and Yahoo&#8217;s new service is a bit more of the same  						then what is?</p>
<p>To answer that question we have to consider what it is  						we want from it. There is a lot of debate about what a  						service like Twitter is. Taking into account that a  						Harvard survey this week concluded that the amount of  						accounts that post is a small minority and that the  						retention rate is not enormously high then we could  						conclude that it is a brief excitement about nothing at  						all. Alternatively it could be that this is something  						big but we are just not sure what it is yet.</p>
<p>Personally I think that it is not just big, it&#8217;s HUGE  						and represents a fundamental paradigm shift in the way  						that the Internet will be used.</p>
<p>Up until now the Internet has been used primarily in two  						ways. First as a shop-front or repository for  						information. Essentially this is what the standard web  						site is, even if it has interactive capabilities.  						Information is posted and browsers can stop by and have  						a look, maybe ask questions etc.. and buy things. I  						think of it as a large town centre with a myriad of  						shops and a stonking great library. The so-called social  						networking sites that have blossomed under &#8220;Web 2.0&#8243; I  						believe are no more than extensions to this concept.  						They are information repositories with template driven  						interfaces. Sure, you can add friends etc.. and then  						share information and experiences but it is still a  						relatively static experience and can be quite complex to  						get the best out of it. Facebook for example which is  						really nothing more than a collection of micro-sites  						takes effort to get the best out of it and many people  						have neither the time nor the inclination to make that  						effort.</p>
<p>The second use is in messaging. The two main such  						systems are email and instant messaging. Relatively  						speaking they are the Internet versions of the post and  						the telephone and in the abstract work in almost  						identical ways. Both email and post are sent (and this  						is very important) by the sender to the recipient. Even  						if you join a newslist it is still sent to you in a  						similar way as a newsletter would come through your  						letter box. Instant messaging and the telephone are both  						invite-only instant systems. They are as transient as  						the conversation and although can generally be saved,  						this is not an intrinsic element of the system.</p>
<p>There is of course online gaming as a fairly big element  						but that is its own world and I think I can safely move  						on from that for these purposes.</p>
<p>So how and why is tweeting different. It is public in  						the way that instant messaging is not. It is opt-in and  						collect in a way that email is not and it is timely and  						easy to get into in a way that a web page is not. These  						are widely recognised but saying what it is not does not  						say what it is.</p>
<p>If the web is a large Mall and library and Messaging is  						well&#8230; messaging then I consider Tweeting as a public  						conference. I would say that you can consider it as a  						place to go to hear the messages of the high and mighty  						at the main stages (Ashton Kutcher or CNN). Go to break  						out groups for a specific subject which is what you do  						when you follow a trending topic, often done on the fly  						as a reaction to something in the news. Then there are  						all the social cocktail parties with like minded souls  						where you can discuss the mundane, profane and even  						stray to the downright serious if you want. There will  						also be those trying to sell you something lurking in  						the lobby handing out fliers to any passers-by. This in  						turn leads to what is going as being the collective  						consciousness of that conference. The 140 character  						limit forces brevity to the size of a thought. By  						allowing these thoughts to be transmitted, rebroadcast  						and reacted to in the conference we have created a  						fundamentally new powerful social tool.<br />
There are some areas where my analogy to a conference  						falls down however it seems to fit the bill quite  						nicely. So how can we make this work for us to its best  						effect. Here is my hit list:-</p>
<p><!--       h1 {         color: #00468C;         } span.style21 	{} div.Section1 	{page:Section1;} body.hmmessage { font-size: 10pt; font-family:Verdana } --></p>
<ul>
<li>Break the silo.  							Twitter should not be sole arbiter of the  							tweetosphere, we need multiple tweet conferences all  							connected and able to talk to each other in a  							standard manner</li>
<li>Enable the break  							out groups more so that it is easy to follow a topic  							rather than a person however at the same time create  							a way to personalise the relevance of others  							thoughts for a particular user</li>
<li>Create a public  							and a private space for the same account so that  							internal messages for a group can be sent. You can  							be in many groups but you are still the same person</li>
<li>Enable a simple  							method for persistence of data either by searching  							back though tweets or for a user to decide that he  							is going to keep a tweet</li>
<li>Urgent message  							notifications, these can be tagged onto a tweet and  							a user can decide to give a priority to such tweets  							for those that he follows</li>
<li>Searching of  							tweets. As we already know tweets are often very  							temporal in nature and ones man&#8217;s tweet may be  							another man&#8217;s twash. Search engines like Google do  							not handle this well. We need a new method &#8211; I have  							some ideas on this which I will save for another  							post</li>
<li>The ability to add  							additional content, tagging and links to a tweet.  							This could be on a server by server basis and  							consist of the speciality for a tweet conference.  							Certainly the needs for a media company may be very  							different to those of a school</li>
<li>An open and  							available API. We want people to come up with  							innovative and exciting ways to interact with the  							tweetosphere.</li>
</ul>
<p>In my next post I will  						look at how and why these elements can help different  						organisations or groups, after that I may even be able  						to show you some live working examples as I don&#8217;t just  						write about this stuff, I build it too.</p>
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		<title>Tweets for You &amp; Me, Take One</title>
		<link>http://tems.ca/2009/05/tweets-for-you-me-take-one/</link>
		<comments>http://tems.ca/2009/05/tweets-for-you-me-take-one/#comments</comments>
		<pubDate>Fri, 29 May 2009 19:57:26 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Uncategorized]]></category>
		<category><![CDATA[content]]></category>
		<category><![CDATA[ownership]]></category>
		<category><![CDATA[twitter]]></category>

		<guid isPermaLink="false">http://tems.ca/?p=15</guid>
		<description><![CDATA[by Andrew Fielden
HTML clipboard
Twitter is the current  						big thing and there are some really good things about it  						and there are some really bad things about it.
What is great is that it allows anyone to share ideas  						and information with the world very simply. There is no  						long and complicated setup [...]]]></description>
			<content:encoded><![CDATA[<p>by Andrew Fielden</p>
<p>HTML clipboard</p>
<p><!--       h1 {         color: #00468C;         } span.style21 	{} div.Section1 	{page:Section1;} body.hmmessage { font-size: 10pt; font-family:Verdana } -->Twitter is the current  						big thing and there are some really good things about it  						and there are some really bad things about it.</p>
<p>What is great is that it allows anyone to share ideas  						and information with the world very simply. There is no  						long and complicated setup and when you have created  						your account you are ready to find a few friends and off  						you go. It does take a while to get used to what is  						happening but not long. The 140 character limitation is  						actually a benefit as it forces brevity and allows the  						follower to skip through things pretty fast.</p>
<p>What is not so great is that it is a closed system.  						Twitter own it and all its content. This is bad for  						various reasons. First of all we have given ourselves  						away to Twitter. Secondly we are at the mercy of what  						they want to do with the system in the future and  						finally should the system fail temporarily or even  						permanently then we will be without it.</p>
<p>This is known and there are a lot of pundits such as 						<a href="http://www.scripting.com/stories/2009/05/19/takingOffTheTrainingWheels.html"> Dave Winner</a> out there  						saying that this is not a good state of affairs.</p>
<p>So what can be done. 						<a href="http://www.readwriteweb.com/archives/yahoo_meme_hands-on_with_yahoos_twitter_clone.php"> Yahoo</a> have launched a  						Twitter type system that they are trialing in Brazil but  						I fail to see how this helps. It too is a closed system  						and quite frankly does nothing to help. Any system that  						is closed will create islands with difficult  						communications. There are already companies that will  						search across the various Social Networking sites and  						presumably they will just add these as they come along  						but that is hardly perfect and not necessarily cheap  						either.</p>
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		<title>Gone fishing</title>
		<link>http://tems.ca/2009/05/gone-fishing/</link>
		<comments>http://tems.ca/2009/05/gone-fishing/#comments</comments>
		<pubDate>Mon, 25 May 2009 20:44:06 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Uncategorized]]></category>
		<category><![CDATA[journalism]]></category>
		<category><![CDATA[social media]]></category>

		<guid isPermaLink="false">http://tems.ca/?p=43</guid>
		<description><![CDATA[ 
Last evening I exchanged notes with a well-regarded television journalist  	who seemed to be actively refusing to acknowledge the importance of  	news-on-the-net via social media as a real-world alternative to the nightly  	newscast.


The discussion was surreal at best. She truly believes &#8216;we&#8217; need her and her  	colleagues to be our [...]]]></description>
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<p style="margin-top: 0px; margin-bottom: 0px;">Last evening I exchanged notes with a well-regarded television journalist  	who seemed to be actively refusing to acknowledge the importance of  	news-on-the-net via social media as a real-world alternative to the nightly  	newscast.</p>
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<p style="margin-top: 0px; margin-bottom: 0px;">The discussion was surreal at best. She truly believes &#8216;we&#8217; need her and her  	colleagues to be our filter because we can&#8217;t understand the facts on our  	own. &#8216;We&#8217; need journalists to decipher the code for us.</p>
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<p style="margin-top: 0px; margin-bottom: 0px;">When I mentioned that near-real-time situational awareness already exists  	via the net her reaction was almost comical were it not so damned tragic:  	She warned me about the dangers of too many fragmented views.</p>
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<p style="margin-top: 0px; margin-bottom: 0px;">My friend Andrew Fielden [follow him on Twitter 	<a href="http://twitter.com/AndrewTF"> @AndrewTF</a>] reminds  	me on a regular basis that no one service provider can have a monopoly on  	the sources of the data.</p>
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<p style="margin-top: 0px; margin-bottom: 0px;">He attended last week&#8217;s Media140 gathering in London and among the many  	comments he made afterwards was that &#8220;Twitter  	itself is seen as the latest threat to the media in that it appears to allow  	people to go direct to the source in real time and create an instant news  	thread which require only the presence of the microblogs and linking through  	to blogs and other supporting digital elements.&#8221;</p>
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<p style="margin-top: 0px; margin-bottom: 0px;">So what happens when the &#8216;great unwashed&#8217; are unleashed and able to generate  	news of their own making? Are there any guarantees that what they produce  	will be any less important than that which is professionally produced in a  	multi-million dollar studio?</p>
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<p style="margin-top: 0px; margin-bottom: 0px;">I think not. Often, I am struck by the incredibly poor job the  	&#8216;professionals&#8217; do at communicating a story. Last week, I read an op-ed in  	the Washington Examiner wherein the name of a man who was sent to Syria and  	tortured because he was mistakenly suspected of being a terrorist was  	replaced by the name of a man awaiting trial for allegedly killing an  	American medic in Afghanistan. Do not disturb with the facts. Professionals  	at work.</p>
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<p style="margin-top: 0px; margin-bottom: 0px;">In emergency management, we talk about situational awareness as if it were  	the holy grail and in many ways it is. That ability to sift through multiple  	streams to pull the essential nuggets out on an ongoing basis is at least as  	important as the ability to craft a compelling narrative to ensure the  	information can be shared effectively.</p>
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<p style="margin-top: 0px; margin-bottom: 0px;">However, the key to gaining that type of perspective is knowing what kind of  	nuggets you need to be fishing for at that moment in time &#8211; or more  	importantly, for the next several moments in the future.</p>
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<p style="margin-top: 0px; margin-bottom: 0px;">Retired Canadian Forces Col. Richard Moreau [now a VP with Ottawa-based 	<a href="http://www.prolity.com/"> Prolity</a>] teaches a  	serious &#8216;leadership in crisis program&#8217; that emphasizes the need for  	intelligent awareness. According to Richard, if you don&#8217;t provide guidance  	on what you&#8217;re looking for, don&#8217;t be surprised when your intel crews come  	back excitedly proclaiming, &#8220;We&#8217;ve got cod! We&#8217;ve got cod!&#8221;</p>
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<p style="margin-top: 0px; margin-bottom: 0px;">At some point, you&#8217;re going to have to explain to them that you were looking  	for swordfish.</p>
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<p style="margin-top: 0px; margin-bottom: 0px;">Which brings me back to my exchange with the television journalist. I&#8217;m not  	sure what she&#8217;s fishing for, because of course, there&#8217;s no way for the  	collective &#8216;us&#8217; to provide her with guidance on what we believe is  	important. It was clear in the course of our brief conversation that she  	thinks she knows what we need to learn and that we would be lost without  	these self-anointed guides. She mentioned words like &#8216;trust&#8217; and  	&#8216;credibility&#8217; however left out key terms like &#8216;depth of understanding&#8217; and  	&#8216;real-world expertise.&#8217;</p>
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<p style="margin-top: 0px; margin-bottom: 0px;">So, I go fishing on my own, looking for a spectacular mix of views, opinions  	and facts from which I will draw down my own intelligent situational  	awareness.</p>
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<p style="margin-top: 0px; margin-bottom: 0px;">I don&#8217;t need a nanny journalist to &#8217;sort it all out&#8217; for me every evening.</p>
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